EFFECT OF BALLOON BIONIC MIDWIFERY COMBINED WITH EPIDURAL ROPIVACAINE AND DEXMEDETOMIDINE ON LABOR ANALGESIA AND POSTPARTUM HEMORRHAGE IN PRIMIPARAS

被引:0
|
作者
Chen, Xiuyun [1 ]
Liu, Huaigang [2 ]
See, Mei [3 ]
Zhang, Zhenhua [4 ]
机构
[1] Second Maternal & Child Hlth Hosp Jinan, Obstet Fetal Heart Care Unit, Jinan 271100, Shandong, Peoples R China
[2] Zhangqiu Dist Peoples Hosp, Dept Anesthesiol, Jinan 250200, Shandong, Peoples R China
[3] Second Maternal & Child Hlth Hosp Jinan, Delivery Room, Jinan 271100, Shandong, Peoples R China
[4] Fourth Peoples Hosp Shaanxi, Dept Anesthesiol, 512 Xianning East Rd, Xian 710043, Shaanxi, Peoples R China
来源
ACTA MEDICA MEDITERRANEA | 2021年 / 37卷 / 03期
关键词
balloon bionic midwifery; ropivacaine; dexmedetomidine;
D O I
10.19193/0393-6384_2021_3_289
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The purpose was to explore the effect of balloon bionic midwifery combined with epidural anaesthesia (ropivacaine and dexmedetomidine) on labor analgesia and postpartum hemorrhage in primiparas. Methods: 120 primiparas admitted to our hospital from January 2019 to January 2020 were selected as the research objects, and were equally divided into group A (n = 60) and group B (n = 60) according to the order of admission. After both groups were given epidural anaesthesia with ropivacaine and dexmedetomidine, group A received balloon bionic midwifery while group B received routine treatment to compare the labor analgesia and postpartum hemorrhage between the two groups. Results: The pain score in group A after analgesia was significantly lower than that in group B, while the sedation score was significantly higher than that in group B (P < 0.001). The incidence of adverse events in group A was significantly lower than that in group B (P < 0.05). The labor time in group A was significantly shorter than that in group B (P < 0.001). Except for parturients with cesarean section, the amount of postpartum hemorrhage in group A was significantly lower than that in group B, and the number of parturients with postpartum hemorrhage >= 400ml was significantly lower than that in group B (P < 0.05). Conclusion: Balloon bionic midwifery combined with epidural ropivacaine and dexmedetomidine can achieve good sedation and analgesia effect, with shorter duration of labor and less postpartum hemorrhage, which should be widely applied in clinical practice.
引用
收藏
页码:1825 / 1829
页数:5
相关论文
共 42 条
  • [1] Effect of Epidural Dexmedetomidine Combined With Ropivacaine in Labor Analgesia
    Zhao, Yang
    Xin, Yan
    Liu, Yongbo
    Yi, Xuanlong
    Liu, Yingzhi
    CLINICAL JOURNAL OF PAIN, 2017, 33 (04) : 319 - 324
  • [2] EC50 of Epidural Ropivacaine Combined With Dexmedetomidine for Labor Analgesia
    Zhang, Wp
    Li, Cuiling
    CLINICAL JOURNAL OF PAIN, 2018, 34 (10) : 950 - 953
  • [3] Evaluation of the effect of dexmedetomidine combined with ropivacaine in epidural labor analgesia: a systematic review and meta-analysis
    Zhou, Huanmian
    Wen, Jing
    Guo, Guangsheng
    Zhao, Yifan
    Liu, Weifeng
    MINERVA ANESTESIOLOGICA, 2022, 88 (10) : 842 - 852
  • [4] Obesity decreases the EC50 of epidural ropivacaine when combined with dexmedetomidine for labor analgesia
    Chen, Xiaojun
    Cai, Meng
    Lei, Xiaofeng
    Yu, Jin
    EXPERT REVIEW OF CLINICAL PHARMACOLOGY, 2021, 14 (08) : 1051 - 1056
  • [5] Determination of the Dose-Response Relationship of Epidural Dexmedetomidine Combined with Ropivacaine for Labor Analgesia
    Ni, Jian-Xin
    Feng, Jia-Li
    Yao, Sheng-Jie
    Ni, Li-Feng
    Song, Shao-Bo
    Song, Cong-Zhong
    Qian, Xiao-Wei
    Mei, Zhong
    Yu, Jing
    DRUG DESIGN DEVELOPMENT AND THERAPY, 2022, 16 : 609 - 618
  • [6] Effect of ropivacaine and sufentanil in epidural labor analgesia
    Wen, Xijiao
    Huang, Bowan
    Liang, Xin
    AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH, 2021, 13 (06): : 7001 - 7007
  • [7] Comparison of ropivacaine plus sufentanil and ropivacaine plus dexmedetomidine for labor epidural analgesia A randomized controlled trial protocol
    Chen, Gang
    Gong, Maowei
    Liu, Yi
    MEDICINE, 2020, 99 (36) : E22113
  • [8] Combination of sufentanil, dexmedetomidine and ropivacaine to improve epidural labor analgesia effect: A randomized controlled trial
    Li, Gehui
    Xiao, Yuci
    Qi, Xiaofei
    Wang, Hao
    Wang, Xiaoguang
    Sun, Jing
    Li, Yong
    Li, Yuantao
    EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2020, 20 (01) : 454 - 460
  • [9] Efficacy and safety of dexmedetomidine-ropivacaine versus sufentanil-ropivacaine for epidural labor analgesia: a randomized controlled trial
    Fan, Mei
    Li, Juan
    Cao, Rong
    Hu, Lili
    Lu, Sunshan
    ANNALS OF PALLIATIVE MEDICINE, 2022, 11 (04) : 1410 - 1420
  • [10] Comparison of dexmedetomidine or sufentanil combined with ropivacaine for epidural analgesia after thoracotomy: a randomized controlled study
    Yan, M. J.
    Wang, T.
    Wu, X. M.
    Zhang, W.
    JOURNAL OF PAIN RESEARCH, 2019, 12 : 2673 - 2678